Features
Saving Lives Through Improved Healthcare
In a dramatic move, the Federal Government
recently initiated a programme, which aims at saving one million lives via
improved health care delivery for all Nigerians.
The three-year initiative, from 2012 to 2015, represents
an important paradigm shift in the government’s health policy.
Experts say that the programme marks a shift from the
previous orientation, which focused primarily on inputs and processes such as
buildings and equipment, skilled manpower and availability of drugs, to one
that focuses on health outcomes through live-saving strategies.
The crusade fight to make available essential health
care services to women and children across that globe started when the United
Nations (UN) Commission on Life Saving Commodities for Women and Children initiated
plans to save 16 million lives by 2015.
Observers say that the “Saving One Million Lives’’
initiative is a laudable programme aimed at transforming health care delivery
in the country.
The Minister of State for Health, Dr Muhammad Pate, said
that the country’s health care delivery system could only be adjudged as
efficient and effective if diseases could be cured, while the citizens’ lives
were saved from preventable disease or deaths.
Pate said that the “Saving One Million Lives’’
initiative was based on evidence-based, cost-effective interventions which
could address the leading causes of maternal or child morbidity and mortality.
He said that the initiative comprised eight components,
adding that the 10 recommendations of the UN Commission on Life Saving
Commodities for Women and Children regarding 13 under-utilised essential
commodities were fully embedded in the initiative’s components.
“The initiative particularly aims at improving maternal,
newborn and child health through the delivery of an integrated package of
interventions at thousands of primary health care clinics with referral links
across the country.
“We are working to increase the rate of antenatal care
attendance, skilled supervision at child delivery centres and availability of
critical commodities for treating postpartum haemorrhage, eclampsia and
promoting reproductive health.
“The SURE-P MCH (Mother and Child) programme has
successfully started a conditional cash-transfer mechanism that has shown
remarkable results, with 100-per-cent increase in uptake in the participating
primary healthcare centres,’’ he said.
Pate said that the initiative aimed at improving routine
immunisation coverage and eradicating poliomyelitis, while the Federal
Government in June introduced pentavalent vaccines that would protect millions
of children against preventable disease
He said that in 2013, pneumococcal vaccines for the
prevention of pneumonia would be introduced, thus expanding the scope of
ongoing efforts to save more lives.
“Vaccines remain among the most cost-effective public
interventions.
“As part of our efforts to scale up prevention from
mother-to-child HIV transmission, we will increase access to quality HIV
testing and counselling as well as treatment of infected mothers, while
exploring the feasibility of giving universal access to HIV treatment to all
those infected,’’ he said.
The minister said that as part of efforts to scale up
access to essential medicines, the Federal Government was working towards
improving the children’s access to diarrhoea treatment.
For malaria control, the government, through the Nigeria
Malaria Control Programme (NMCP), is also planning to increase people’s
utilisation of insecticide-treated bed nets, while enhancing the people’s
access to effective anti-malarial medicines.
Besides, the government is planning to improve child
nutrition, while treating children with severe malnutrition.
In this year alone, the Federal Government has provided
more than 30 million doses of Vitamin A micro-nutrient supplements to
children under the age of five.
The country’s health care delivery to women and children
will soon receive a boost, as President Goodluck Jonathan pledged his
administration’s commitment to addressing issues relating to maternal and child
mortality while launching the “Saving One Million Lives’’ initiative on October
16.
“Increased domestic funding for life-saving commodities
is a key area of commitment we are pursuing in this administration.
“We are committed to a total of 33.4 billion U.S.
dollars (about N5 trillion) over the next four years for the procurement of
additional reproductive health commodities, representing a 300-per-cent
domestic funding increase.
“We have also set aside half a billion dollars (about
N75 billion) over the next four years for maternal, new born and child health
intervention under the Subsidy Re-investment and Empowerment Programme
(SURE-P).
“This is in addition to increased commitment of 68
million dollars (about N10.2 billion) for polio control and routine
immunisation programmes.
“In our efforts to improve access to life-saving
commodities for women and children, particularly the vulnerable population, the
Federal Government in April 2011, removed user fees from contraceptives in
public health facilities.
“This has led to a dramatic increase in the demand for
contraceptives in public health facilities by more than 150 per cent,’’ he
added.
Jonathan, however, solicited the support of development
partners in developing essential medicines to scale up plans in tackling
diseases such as diarrhoea, malaria and pneumonia.
He noted that the three diseases accounted for of 55 per
cent of deaths of under-five children in the country.
Explaining why he was so passionate about issues
regarding maternal and child mortality, the president said that his mother gave
birth to nine children, out of which only himself and his elder sister were
alive today.
“Seven of my siblings died as infants and sometimes;
when I remember their faces as infants, I imagine that they could have grown up
into pretty young ladies and handsome men.
“That I am alive today is the handiwork of God; it is
not by any human intervention.
“So, as a person, I am quite passionate to be part of
anything which the government, corporate bodies or international organisations
are doing to save the lives of women and children.
“Probably, I am even luckier, some people of my age even
lost their mothers and some grew up as orphans.
“So, I am quite pleased with what we are doing here
today and I have to sincerely thank my good friend, the Prime Minister of
Norway, for his generous contribution to the initiative,’’ Jonathan said.
Mrs Angel Hanson, who represented the Norwegian
government, announced a donation 2.5 million U.S dollars (about N375 million)
over five years to the “Saving One Million Lives’’ initiative during its
launch,
Hanson said that Norway, with its mobilisation of human
resources and prudent resource management, became one of the most prosperous
countries in Europe.
She expressed Norway’s happiness with the proactive
policies of the Nigerian government that were aimed at developing the country’s
human resources for national development.
The Minister of Finance, Dr Ngozi Okonjo-Iweala,
underscored the need to overcome the challenges facing Nigeria’s health system
and improve the quality of health care delivery to the citizens.
She said that in spite of recent the gains recorded in
the health sector, there was an imperative need to fast-track efforts to attain
the health-related Millennium Development Goals (MDGs).
The minister noted that it had been estimated that
approximately one million women and children died annually in Nigeria due to
preventable diseases and causes, putting the socioeconomic future of the
country at risk.
Okonjo-Iweala stressed the need for the adoption of a
new approach to address Nigeria’s health outcomes and harness its demographic
potential as necessary drivers for the country’s sustainable growth.
She said that Nigeria’s population was projected to
double in 20 years, while increasing by 146 per cent in 2050 to about 400
million, making it the 4th most populous country in the world.
She said that the expected population boom would be
largely driven by very high fertility rates which had persisted over the last
30 years.
Okonjo-Iweala said that the “Saving One Million Lives’’
initiative presented a renewed strategy for improving health outcomes,
particularly for women and children.
“The mothers and children we save today will build a
more prosperous Nigeria in the future and enhance Nigeria’s aspiration to
become one of the world’s largest 20 economies by 2020,’’ she said.
The minister said that the procedures of the initiative
were directed at improving the lives of millions of women, their children and
their families, while shaping future fertility patterns.
In addition, Okonjo-Iweala stressed that accelerating
the decline in fertility rates would trigger changes in the age-structure of
Nigeria’s population, adding, however, that this was beneficial to the
country’s development.
She emphasised that inadequate access to life-saving
commodities constituted a big threat to the lives of Nigerian women and
children.
Okonjo-Iweala, nonetheless, noted that the Federal
Government was addressing these challenges through the National Health
Strategic Development Plan (NHSDP), which aimed at improving the citizens’ health
status through a purposeful health care delivery system.
“The ‘Saving One Million Lives’ initiative is a
culmination of efforts in the health sector to improve delivery of health
outcomes and address critical challenges so as to improve the wellbeing of
women and children,’’ she said.
Dr. Ariel Pablos-Mendez, the Assistant Administrator for
Global Health in the United States Agency for International Development (USAID)
said that the U.S. government, through USAID/Nigeria, would support the
initiative’s implementation in Nigeria.
He gave the assurance that the agency would collaborate
with the Federal Ministry of Health to expand safe motherhood and newborn
interventions, including antenatal care, improved child delivery processes as
well as management of obstetric and newborn emergencies, among others.
Pablos-Mendez pledged USAID’s readiness to collaborate
with the ministry and its local partners in efforts to build stronger health
care systems in the country.
He said that partnership would also strive to
consolidate the successes recorded in improving commodity forecasting and
logistics systems, as well as HIV control, malaria control, family planning and
maternal/child health care delivery.
Ofili writes for
Nons Agency of Nigeria (NAN)
Features
Will Drug Trafficking Ever End ?
From the fore going, the fight against drug trafficking should be treated as an international challenge with open collaboration, if the world leadership must win the fight!.
The circumstances or should I say the improvement on drug related activities are modifying and updating on daily basis. A close friend of mine in the United States of America who recently visited Jamaica, came with a lot of complicated information about drug trafficking and transaction. Being a qualified Nurse in US and on a visit to the Reggae Country (Jamaica), she said she was put aback when a man approached her and introduced himself as a Pharmacist. According to her, she immediately picked interest due to her professional background. To her, a business partner is birthed. But she was shocked to the narrows on learning that drug dealers or traffickers and subriquited Pharmacist in that Country. From her account, they ( The Jamaican Pharmacists), are the first set to people to meet and greet you at the Airport. No government or authority challenges them in the open due to the sophisticated nature of their transportation
Come to think of it, who would want to attack a Pharmacist on duty? Nigerians are not left out in the improvement on drug deal. A chat with a confident in the National Drug Law Enforcement Agency ( NDLEA) Rivers State Command, so revealed. The Officer draw my attention to the movement of Dispatch Riders. He said part of the reasons they ride with almost speed equivalent of the thunder lightning, is to meet up with the appointment of delivering hard drug consignment to a client of theirs. According to him, those guys popularly referred to as Yahoo Boys are the ones who now payroll dispatch riders so that they can deliver their consignment ( hard drugs) on schedule no matter the sort of traffic or weather condition. The fear of loosing rich clients and that of the unknown treatment that may come of the Boys, as the officer puts it, drives the Riders crazy thus the reason to speed even at the expense of their lives.
The account of a prominent Party Promoter, Wayne Anthony, as obtained online recently, also pointed out that ‘No Legislation Will Stop Clubbers From Doing Drugs’ Party promoter, Wayne Anthony, arrived in Ibiza, a Spanish Island in 1988, at the same time as dance music and the party drug ecstasy. Despite hallucinating badly enough to make him give up the lifestyle forever, he says laws will never stop clubbers taking drugs. “I don’t think you can control these things,” said former party promoter Wayne Anthony. He arrived in Ibiza in 1988 and began setting up club nights and raves in some of the island’s most iconic venues. In the years that followed, the sleepy Spanish island turned into a raver’s haven of clubbing and hedonism, with party drugs like ecstasy commonly found. “What Ibiza represented was this beautiful, hot island which was visually stunning and we knew you could party there quite legally,” said Wayne. “You didn’t have to look over your shoulder. You could just be as free as you possibly could be.”
That freedom came with a price. Along with the lavish clubs, all-day-benders and hot Spanish sun came drug cartels and crime. The city transformed into one the world’s most vibrant party capitals, “fuelled by a dangerous and lucrative drugs trade which drew as many criminals to its shores as it did party animals”. Wayne, one of the contributors to the documentary, spoke to Sky News ahead of its release.”I’m not going to sit here and say the cartels aren’t there. They are all there and they’ve been there from the ’90s,” said Wayne. But he said most people tried to ignore the organised crime going on around them. According to Wayne, clubbers usually took the approach of: “‘Give me 10 E’s . Behind the scenes of the filming of Ibiza Narcos with Wayne Anthony. Behind the scenes of the filming of Ibiza Narcos with Wayne Anthony. Hallucinating giant spiders Although he described the Balearic island as the “motherland”, it was eventually a bad experience with drugs that convinced Wayne it was time to leave Ibiza.
He’d been partying for days when he realised he’d taken too many drugs. A friend told him to drink cough medicine, dangerous advice that he now says could have killed him. “I saw the worst hallucination I’ve ever seen in all of my life. I ended up locking myself in the villa with all the shutters down. When he sobered up, he realised he had “come to the end” of his party life on the island. “I never looked back. I never took another drug. I got away from the club world.” ‘I don’t think you’re going to be able to stop it’ Despite his life-changing experience, he doesn’t think criminalising drugs is a good idea – or particularly effective. “If you’re old enough to vote for who’s going to be a world leader, if you’re old enough to put your name down on debt for 25 years, I feel like you should be old enough to govern what you put inside your own body, you know?” said Wayne.
Back to Nigeria, some illicit drugs worth over N30billion seized at Onne Port in Rivers State.
This blood chilling development forced the Federal Government to declare a state of emergency at the Onne Port, following what authorities described as repeated incidents of importation of dangerous cargo, including arms and ammunition through the said port. To this effect, the government said it was immediately implementing emergency protocols at Onne Port for the next three months by conducting thorough examinations of all suspected containers in the premises.
The Comptroller-General of Customs, Bashir Adeniyi, in charge of the port via a press conference, said it henceforth, unveiled the seizures of illicit goods by the Nigeria Customs Service, Area 2 Command, Onne in Eleme Local Government Area of Rivers State. In defence for his action, Adeniyi said the recurring incidents posed a threat to national security, adding that the health of citizens at the Onne Port is increasingly being used as a destination for dangerous and illicit cargo, describing it as a disturbing trend.
The customs boss stated, “Earlier today, I joined numerous stakeholders to take a significant step towards the cause of trade facilitation through the inauguration of upgraded facilities provided by the West Africa Container Terminal, Onne. “As I express delight that trade facilitation is getting traction in Onne Port, I cannot help but call your attention to a grave concern. This has to do with the repeated incidents of national security breaches unfolding in Onne Port. I appreciate your presence, as we all have a shared responsibility in safeguarding our national security. As we are all aware, the policy thrust of Mr President supports the re-energising of our business environment to drive faster import clearance and grow our capacity for exports, Our emphasis has been to promote initiatives that speak to Trade facilitation and economic development. “It is a matter of regret that criminal elements in the international supply chain are exploiting our pro-trade stance to commit atrocities bordering on national security breaches”.
“The attempts to test our will through the importation of dangerous cargo through this port has necessitated the declaration of a state of emergency in Onne Port, coming on the heels of a seizure of a huge cache of arms a couple of months ago. It is disheartening that perpetrators have not backed down on their illegal acts. Recent intelligence and seizures have revealed a disturbing trend; Onne Port is increasingly being used as a destination for dangerous and illicit cargo. The scale and nature of these illegal importations pose a significant threat to our national security and the health of our citizens. Today, we are here to showcase yet another series of significant seizures made by the diligent officers of the Area 2 Command. On display are twelve containers of illicit goods intercepted through a combination of intelligence gathering, inter-agency collaboration, and meticulous physical examination. Seizures on Display include: Three (3) x 40-feet containers: Containing 562,600 bottles of 100ml cough syrup with codeine and 3,150 pieces of chilly cutters, with a Paid Duty Value (DPV) of N4,716,573,846.
“Others are, three x 40-feet containers containing 380,000 bottles of 100ml cough syrup with codeine, 24,480,000 tablets of Royal Tramadol Hydrochloride, 5,350,000 tablets of Tapentadol and Carisoprodol, and other items, with a DPV of N17,432,506,000 were seized”.
According to the report, more seized items were, “Five (5) x 40-feet containers; Containing 892,400 bottles of 100ml cough syrup with codeine, 1,300,000 tablets of 50mg Really Extra Diclofenac, 7,250,000 tablets of 5mg Trodol Benzhexol, and other items, with a DPV of N8, 128,568,295,90. This very action of the Nigeria Customs Service, further complicated the hope of how soon the fight against drug trafficking could be brought to a halt owing to its high profile nature.
Another hair-raising report of the illicit drug deal has it that when NDLEA bursted a Snake-Guarded Shrine Used For Storing Illicit Drugs sometime ago in Edo State. This very news report was published in The Tide Newspaper on June 24, 2024. According to the report, NDLEA said its operatives uncovered a shrine, guarded by a snake, being used for storing illicit drugs, during an operation in Edo State. The Agency in a statement by its spokesperson, Femi Babafemi, added that its operatives discovered a specially constructed large hole in a wall, hidden behind wallpapers and fetish objects used for drug storage. It further noted that methamphetamine, Loud, Colorado and Arizona, all strong strains of cannabis with a total weight of 8.743kg among others, were recovered from the shrine.
To be cont’d
King Onunwor
Features
Farmers/Herders Clash: Livestock Ministry As Solution
The persistent clash between farmers and herders in Nigeria has been a longstanding issue. These conflicts, often, over resources like land and water, have led to loss of lives, destruction of property, displacement of large numbers of people, deep-seated mistrust between communities and insecurity. Herders, traditionally nomadic, move their livestock in search of grazing land and water. Farmers, on the other hand, require the same resources for their crops. This competition often leads to clashes, especially in areas where land is becoming increasingly scarce due to population growth, climate change, and environmental degradation. As these clashes intensify, there has been a growing call for sustainable solutions. Two weeks ago, President Bola Tinubu took a bold step towards tackling the issue by inaugurating the Presidential Committee on Implementation of Livestock Reforms and creating the Ministry of Livestock Development.
The committee which has the president as the chairman and the former Chairman of the Independent National Electoral Commission (INEC), Professor Attahiru Jega as the deputy chairman has the mandate to address obstacles to agricultural productivity and open up new opportunities which benefit farmers, herders, processors, and distributors in the livestock-farming value chain as well as propose recommendations aimed at fostering a peaceful co-existence between herders and farmers, ensuring the security and economic well-being of Nigerians.The establishment of the Ministry of Livestock Development was part of the recommendations of the National Livestock Reforms Committee. Part of the 21 recommendations submitted to the president include: “This agenda should include the establishment and resuscitation of grazing reserves as suggested by many experts and well-meaning Nigerians and other methods of land utilisation.
“Create the Ministry of Livestock Resources in line with practice in many other West African countries. In the alternative, Federal and State Governments should expand the scope of existing Departments of Livestock Production to address the broader needs of the industry,” among others. Experts in the agricultural sector have posited that the livestock industry can create millions of jobs directly in farming, processing, and distribution, and indirectly in related sectors like feed production, veterinary services, and marketing. It provides livelihoods for rural populations, helping to reduce poverty and improve the quality of life in rural areas. It also increases the Gross Domestic Product (GDP) and foreign exchange earnings through the exports of livestock and livestock products such as meat, dairy, wool and leather.
According to them, a well-funded livestock industry supports the growth of agro-processing sectors, such as meat packing, dairy processing, and leather manufacturing, adds value to raw products and creates additional economic activity as well as stimulates the development of supply chains, including logistics, packaging, and retail, contributing to broader economic growth. It enhances economic resilience by diversifying the agricultural sector and providing a buffer against crop failures or other agricultural shocks and many more. Some other agriculturists have also opined that the livestock industry in Nigeria is currently underdeveloped and that by the creation of the ministry of livestock development will open up the industry which will be a huge money spinner for Nigeria.
Reports have shown that a Livestock Ministry can play a pivotal role in mitigating conflicts between farmers and herders by implementing policies and programmes aimed at fostering coexistence and sustainable resource management. The Ministry can work towards clearly demarcating grazing routes and farming areas. This would reduce instances of trespassing and accidental crop destruction, a common flashpoint for conflict. While introducing rotational grazing systems can ensure that land is used sustainably, preventing overgrazing and land degradation, establishing water points and boreholes specifically for livestock can reduce competition for water resources. Similarly, promoting the development of pasturelands through reseeding and controlled burns can improve grazing conditions.
According to a veterinary doctor, Dr Andrew Obadiah, by providing training for herders on sustainable livestock practices and for farmers on conflict resolution, both parties can understand the importance of coexistence. He said that extension services of the ministry can offer advice on improving livestock health and productivity, reducing the need for large herds and extensive grazing. “Setting up local committees involving both farmers and herders to mediate disputes can provide a platform for dialogue and peaceful resolution. Encouraging community-based conflict early warning systems can help prevent clashes before they escalate”, he emphasised.For Mrs. Stella Ugwu, a farmer, having a ministry dedicated to the development of the livestock industry can help in diversifying income sources for both farmers and herders and in turn reduce dependence on land.
”For instance, promoting agro-pastoralism can provide farmers with livestock and herders with agricultural produce”, she explained, adding that providing incentives for adopting sustainable practices, such as subsidies for fodder production or crop insurance, can ease economic pressures. Ugwu was however of the opinion that the creation of a new ministry to handle livestock affairs was uncalled for, since the job can effectively be done by the Technical and Service Department of the Federal Ministry of Agriculture and food security and its equivalent on the states level.In some countries, the establishment of a Livestock Ministry or similar bodies has shown promising results. For example, Ethiopia’s Ministry of Agriculture includes a dedicated department for livestock which has successfully implemented programmes to improve pastoral livelihoods and reduce conflicts.
In Kenya, the establishment of the National Drought Management Authority has helped manage resources better, thus reducing clashes between herders and farmers during dry seasons.The president of Miyetti Allah Cattle Breeders Association of Nigeria (MACBAN), Othman Ngelzarma, sees the Ministry of Livestock Development achieving the same feat for Nigeria in the near future. He told newsmen that, “MACBAN expresses its deepest appreciation to the Federal Government for creating a ministry of livestock to unlock the trillion-naira livestock economy and create qualitative and productive jobs across the value chain to improve the Nigerian economy. With this development, MACBAN believes the hope of the Nigerian pastoralists is now achieved under the Renewed Hope Agenda.
However, the Middle Belt Forum took a different view of the proposed Ministry of Livestock Development, saying it was not enough to sustainably resolve the decades-long farmers-herders crisis in the country. According to the National President of the association, Mr. Bitrus Pogu, what is needed to end the perennial farmers/herders clashes is a deliberate action by regulatory bodies and the government to stop criminal elements from carrying out deadly attacks on innocent Nigerians, mainly farmers. Hear him: “If the reason for creating the Ministry is to stop clashes, I think it is wrong because all of these attacks and killings that are happening have nothing to do with conflicts between farmers and herders. “Farmers have never connived at any given time to go and attack herders, but rather, criminals who happen to be Fulani gang up and attack farmers, kill, maim and chase them out of their ancestral homes.
“Then, the Fulani will come and occupy them. So, it is more about invasion, criminality, and terrorism. And the majority of those they hire to do these evils are not even those who have cattle. So, a deliberate action has to be taken by the government against the perpetrators, which will address the criminality.” Mr. Pogu suggested that the government should adopt ranching for productivity and enduring peace between the pastoralists and farmers in particular and the entire country in general.While the establishment of a Livestock Ministry presents a viable solution, it is not without challenges. Funding constraints, bureaucratic inefficiencies, and corruption can hamper its effectiveness. Additionally, deeply ingrained cultural practices and mistrust between farmers and herders can be difficult to overcome.
Critics argue that without a holistic approach that includes land reform, climate change adaptation, and broader economic development, a Livestock Ministry alone may not be sufficient. Therefore, it must work in tandem with other governmental and non-governmental bodies to ensure comprehensive solutions. “A dedicated Livestock Ministry, with its focus on sustainable resource management, conflict resolution, and economic incentives, offers a promising avenue to address the root causes of these clashes. However, its success depends on effective implementation, adequate funding, and the cooperation of all stakeholders involved. With the right strategies and commitment, devoid of any political or selfish interest, it can play a crucial role in fostering peace and prosperity in affected regions”, they advised.
Calista Ezeaku